JJohnson asked

I"ve been acquisition Adipex-P for 2 months now and this morning i woke up through the beginning of a cold. What sneeze medications deserve to I take the is safe for me? Also, room there daytime medications that I deserve to take? give thanks to you.

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At a glance

Phentermine requirements to be offered cautiously with numerous over the counter medications, consisting of dextromethorphan, phenylephrine and also pseudoephedrine.

Answer

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Phentermine (Adipex-P) has several interactions v over the counter cough/cold medications and are vital to be conscious of.

Specifically, caution needs to take away before combining phentermine with:

We discuss these in much more detail below.

Phentermine with Dextromethorphan

Both phentermine and dextromethorphan deserve to increase levels of the neurotransmitter serotonin. This boosts the threat of a rare however serious problem known together serotonin syndrome, i beg your pardon is defined by several symptoms, including:

AgitationAnxietyHyperthermiaMental status changesCognitive impairmentSeizuresRigiditySweatingNauseaVomiting

While the in its entirety risk that serotonin is fairly low for many individuals, combining medications with serotonin effects increases the risk.

There is part controversy about how strong an effect dextromethorphan has on serotonin. Part studies show that when taken at recommended doses, it doesn"t boost levels.

Others studies but have presented case reports in i m sorry serotonin syndrome developed on usual doses (6). It is essential to speak v your physician before combine phentermine with dextromethorphan.

It is likewise important come be mindful that dextromethorphan is a very common ingredient in end the respond to cough/cold medications. Because that example, that is had in NyQuil, DayQuil and also Tylenol Cold & Flu. Be certain to check out the labels of the over the counter commodities you setup on purchasing.

Phentermine through Pseudoephedrine Or Phenylephrine

Taking phentermine with pseudoephedrine or phenylephrine have the right to increase blood pressure and heart rate.

Phentermine is a stimulant medication, chemically comparable to amphetamines. Both pseudoephedrine and phenylephrine have actually mild stimulating properties. Taking phentermine through a nasal decongestant have the right to have additive effects.

Phentermine need to not be supplied with either drug unless particularly directed by her doctor.

What Cold medicines Are Safe?

While you should avoid any of the drugs previously debated with phentermine unless you speak v your doctor, the following are taken into consideration to have no medicine interactions:

Antihistamines

Antihistamines are taken into consideration safe come take with phentermine. While not frequently classified together "cold" medications, antihistamines can aid many related symptoms, include:

Runny noseCongestionWatery eyesPostnasal drip (which could reason a cough)Insomnia (with sedating antihistamines choose Benadryl)

Over the respond to antihistamines include:

Benadryl (sedating)ZyrtecAllegraClaritinPain Relievers

Both NSAID ache relievers (e.g. Advil, Aleve) and also Tylenol (acetaminophen) are thought about safe with phentermine. Lock can administer symptomatic relief because that a variety of cold symptoms, including fever and also headaches.

Expectorants

Mucinex (guaifenesin) is thought about safe come use v phentermine. Mucinex helps to relieve chest congestion and can be helpful for write-up nasal drip.

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Other

Most "natural" assets for cough relief are safe to use, including ones v honey. In addition, sneeze drops with menthol or ones through anesthetics (e.g. Benzocaine) are thought about safe.